Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

RONALD REAGAN UCLA MEDICAL CENTER

Los Angeles, CA · CCN 050262 · Rates published

20,117 distinct procedures filed
112 distinct payers
1,278,493 rate rows
2026-03-29 last MRF observed
Data quality

1,246,896 of 1,278,493 rate rows are consumer-grade (97.5%)

31,597 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 22,103
percent-of-charges filed in the dollar field — excluded from medians 6,260
per-diem day rate — not a per-procedure price 2,243
placeholder amount (≤ $0.02) — excluded from medians 627
template filing: same amount across many unrelated codes — excluded 277
exceeds 10× this hospital's gross charge — excluded from medians 87
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.uclahealth.org/sites/default/files/cms-hpt/956006143_ronald-reagan-ucla-medical-center_standardcharges.json
Found on page https://www.uclahealth.org/patient-resources/billing-insurance/price-transparency/machine-readable-files
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 97215d1ec3a3c1ec… · 499,979,594 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,335,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
71894012404
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 2x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013006
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 4x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013407
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 6x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894013708
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 7x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894012203
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 2x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894012905
NDC 		Onasemnogene Abeparvovec-xioi 5x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013106
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 5x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894013507
NDC 		Onasemnogene Abeparvovec-xioi 7x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013808
NDC 		Onasemnogene Abeparvovec-xioi 8x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894012504
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 3x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894012002
NDC 		Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894012303
NDC 		Onasemnogene Abeparvovec-xioi 3x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894012604
NDC 		Onasemnogene Abeparvovec-xioi 4x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894012805
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 4x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894014009
NDC 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 8x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894013909
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 7x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894014109
NDC 		Onasemnogene Abeparvovec-xioi 9x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894012103
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 1x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013206
NDC 		Onasemnogene Abeparvovec-xioi 6x8.3 Ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$330
outlier · 13526.8×
71894012705
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 3x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,424,250
1.0× median
71894013608
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 6x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
71894013307
NDC 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 5x8.3ml IV Kit 85 $11,961.00 $4,961,662.50 $4,462,500.00 nat. median
$4,369,425
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,570,000.00 $4,866,750.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 15 $3,570,000.00 $4,958,415.00 $3,685,266.66 nat. median
$3,710,000
1.0× median
RRUCLA-6362339400-J3394-0892-RR45018-1000-12400000
CDM 		Hb Lyfgenia Lovotibeglogene Autotemcel 73554111101 26 $11,961.00 $4,960,000.00 $3,472,000.00 nat. median
$3,472,000
1.0× median
60923051524_2
NDC 		Delandistrogene Moxeparvo-rokl 24 X 10 Ml IV Kit|discarded Drug Not Administered 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923053241
NDC 		Delandistrogene Moxeparvo-rokl 41 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923051120
NDC 		Delandistrogene Moxeparvo-rokl 20 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923052433
NDC 		Delandistrogene Moxeparvo-rokl 33 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923051423
NDC 		Delandistrogene Moxeparvo-rokl 23 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923053847
NDC 		Delandistrogene Moxeparvo-rokl 47 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923055463
NDC 		Delandistrogene Moxeparvo-rokl 63 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923053544
NDC 		Delandistrogene Moxeparvo-rokl 44 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923052130
NDC 		Delandistrogene Moxeparvo-rokl 30 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923050615
NDC 		Delandistrogene Moxeparvo-rokl 15 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923050918
NDC 		Delandistrogene Moxeparvo-rokl 18 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923051827
NDC 		Delandistrogene Moxeparvo-rokl 27 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,327,860
1.0× median
60923051524
NDC 		Delandistrogene Moxeparvo-rokl 24 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
60923051322
NDC 		Delandistrogene Moxeparvo-rokl 22 X 10 Ml IV Kit 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$5
outlier · 647398.8×
60923051827_2
NDC 		Delandistrogene Moxeparvo-rokl 27 X 10 Ml IV Kit|discarded Drug Not Administered 16 $11,961.00 $4,848,000.00 $3,360,000.00 nat. median
$3,360,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 8 $3,209,940.00 $4,002,984.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 17 $3,264,000.00 $4,988,182.14 $3,327,859.72 nat. median
$3,325,455
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 8 $3,060,000.00 $3,816,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
RRUCLA-6362339300-J3393-0892-RR45018-1000-11200000
CDM 		Hb Zynteglo Betibeglogene Autotemcel 73554311101 26 $11,961.00 $4,524,800.00 $3,174,640.00 nat. median
$3,174,640
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 17 $2,302,784.67 $3,582,921.35 $2,588,981.22 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 15 $2,244,000.00 $3,498,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
RRUCLA-8918205800-Q2058-0891-RR45018-1000-2100000
CDM 		Hb Aucatzyl Obecabtagene Autoleucel 83047041004 102 $11,961.00 $1,890,000.00 $1,470,000.00 nat. median
$1,470,000
1.0× median
RRUCLA-6363939923-C9399-0891-RR48636-1000-2048280
CDM 		Hb Omisirge Omidubicel-onlv 73441080004 97 $11,961.00 $1,960,203.96 $1,433,796.00 nat. median
$1,433,796
1.0× median
RRUCLA-6363939925-C9399-0891-RR45018-1000-2248000
CDM 		Hb Amtagvi Lifileucel 73776000111 97 $11,961.00 $2,151,336.00 $1,378,305.00 nat. median
$1,378,305
1.0× median

Other procedures at this hospital

Browse this hospital's 20,117 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0-L MS_DRG Kidney Transplant - Living 7 6 — — $39,000.00 $258,364.00 $114,347.00 2026-03-29
00003712511 NDC Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln|discarded Drug Not Administered 114 96 $118,584.96 $65,221.73 45% off $11,961.00 $106,726.46 $83,009.47 2026-03-29
00003712511_2 NDC Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 114 96 $118,654.96 $65,260.23 45% off $11,961.00 $106,789.46 $83,058.47 2026-03-29
001-SOTHNHAD MS_DRG Heart -not Requiring A Heart Assist Device 1 1 — — $323,350.00 $323,350.00 $323,350.00 2026-03-29
001-SOTHWHAD MS_DRG Heart-requiring A Heart Assist Device 1 1 — — $382,047.00 $382,047.00 $382,047.00 2026-03-29
00310453530 NDC Tremelimumab-actl 300 Mg/15ml IV Soln 114 96 $119,340.00 $65,637.00 45% off $11,961.00 $107,406.00 $83,538.00 2026-03-29
005-C MS_DRG Liver Transplant - Cadaveric 3 3 — — $422,070.00 $627,863.00 $471,987.00 2026-03-29
005-D MS_DRG Liver (Deceased Donor) - Adult & Pediatri 1 1 — — $297,460.00 $297,460.00 $297,460.00 2026-03-29
005-I MS_DRG Intestinal - Adult & Pediatric 1 1 — — $533,493.00 $533,493.00 $533,493.00 2026-03-29
005-L MS_DRG Liver Transplant - Living 4 4 — — $297,460.00 $627,863.00 $447,963.50 2026-03-29
005-LK MS_DRG Liver/Kidney Transplant 2 2 — — $130,000.00 $543,998.00 $336,999.00 2026-03-29
005-SOTLC MS_DRG Liver- Cadaveric 1 1 — — $329,333.00 $329,333.00 $329,333.00 2026-03-29
005-SOTLL MS_DRG Liver - Live Donor 1 1 — — $329,333.00 $329,333.00 $329,333.00 2026-03-29
007-D MS_DRG Lung (Double) - Adult 1 1 — — $436,420.00 $436,420.00 $436,420.00 2026-03-29
007-S MS_DRG Lung (Single) - Adult 1 1 — — $349,135.00 $349,135.00 $349,135.00 2026-03-29
007-SOTLD MS_DRG Lung (double) Adult 1 1 — — $416,666.00 $416,666.00 $416,666.00 2026-03-29
007-SOTLS MS_DRG Lung (single) Adult 1 1 — — $314,884.00 $314,884.00 $314,884.00 2026-03-29
008-SOTSPK MS_DRG Simultaneous Pancreas-living Or Cadaveric Kidney 1 1 — — $256,452.00 $256,452.00 $256,452.00 2026-03-29
010-SOTP MS_DRG Pancreas 3 2 — — $234,148.00 $416,315.69 $392,936.00 2026-03-29
014-BMTALLOR MS_DRG Allogeneic Blood/Marrow Matched/Mismatched Related 1 1 — — $325,501.00 $325,501.00 $325,501.00 2026-03-29
014-BMTALLOU MS_DRG Allogeneic Blood/Marrow Matched/Mismatched Unrelated 1 1 — — $325,501.00 $325,501.00 $325,501.00 2026-03-29
014-BMTMINIALLO MS_DRG Mini-allogeneic/non-myeloablative 1 1 — — $325,501.00 $325,501.00 $325,501.00 2026-03-29
014-R MS_DRG Allogeneic Related Bmt ? Adult & Pediatric 2 2 — — $288,536.00 $384,553.00 $336,544.50 2026-03-29
014-U MS_DRG Allogeneic Unrelated Bmt ? Adult & Pediatric 2 2 — — $288,536.00 $431,443.00 $359,989.50 2026-03-29
016-A MS_DRG Adult Bmt Autologous Transplant 1 1 — — $271,999.00 $271,999.00 $271,999.00 2026-03-29
016-BMTAUTO MS_DRG Autologous Blood/Marrow 1 1 — — $196,622.00 $196,622.00 $196,622.00 2026-03-29
016-P MS_DRG Pediatric Bmt Autologous Transplant 1 1 — — $284,199.00 $284,199.00 $284,199.00 2026-03-29
07D MS_DRG Lung Transplant - Double 6 6 — — $115,000.00 $761,082.00 $366,109.00 2026-03-29
07S MS_DRG Lung Transplant - Single 7 7 — — $90,000.00 $525,119.00 $161,000.00 2026-03-29
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 34 — — $17,500.00 $698,545.31 $344,353.20 2026-03-29
10 MS_DRG Pancreas Transplant 28 24 — — $40,108.00 $484,786.00 $139,577.88 2026-03-29
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 17 16 — — $67,019.11 $135,953.10 $90,954.54 2026-03-29
14 MS_DRG Allogeneic Bone Marrow Transplant 27 21 — — $147,674.03 $553,724.37 $248,325.87 2026-03-29
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 20 — — $72,863.20 $300,499.63 $105,807.15 2026-03-29
163 MS_DRG Major Chest Procedures With Mcc 30 25 — — $17,500.00 $154,581.00 $73,697.43 2026-03-29
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 18 — — $66,751.23 $144,282.48 $96,188.31 2026-03-29
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 17 16 — — $530,623.34 $1,076,407.72 $688,541.58 2026-03-29
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 17 — — $87,668.82 $189,247.04 $128,524.46 2026-03-29
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 21 — — $17,500.00 $282,465.17 $181,202.35 2026-03-29
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 26 — — $25,000.00 $196,143.77 $126,041.90 2026-03-29
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 16 — — $79,068.56 $160,396.29 $107,307.37 2026-03-29
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 26 — — $25,000.00 $132,191.45 $86,576.80 2026-03-29
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 17 — — $73,818.00 $271,056.19 $177,626.14 2026-03-29
215 MS_DRG Other Heart Assist System Implant 23 19 — — $17,500.00 $252,661.95 $159,303.83 2026-03-29
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 29 — — $5,500.00 $243,853.61 $125,733.74 2026-03-29
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 29 — — $5,500.00 $163,900.99 $104,157.43 2026-03-29
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 29 — — $5,500.00 $163,900.99 $99,556.60 2026-03-29
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 29 — — $5,500.00 $191,395.22 $119,331.76 2026-03-29
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 29 — — $5,500.00 $154,581.00 $85,647.18 2026-03-29
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 29 — — $5,500.00 $154,581.00 $80,986.49 2026-03-29
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 26 — — $17,500.00 $154,581.00 $79,508.32 2026-03-29
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 20 — — $25,000.00 $142,837.87 $97,005.00 2026-03-29
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 26 — — $17,500.00 $210,130.18 $134,827.63 2026-03-29
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 26 — — $17,500.00 $154,581.00 $97,271.81 2026-03-29
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 35 28 — — $5,500.00 $190,570.14 $122,480.28 2026-03-29
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 35 28 — — $5,500.00 $154,581.00 $87,716.29 2026-03-29
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 28 — — $5,500.00 $154,581.00 $94,181.68 2026-03-29
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 16 — — $60,477.06 $122,682.08 $82,076.04 2026-03-29
24338005008 NDC Carmustine In Polifeprosan 7.7 Mg Il Wafr 114 96 $117,011.71 $64,356.44 45% off $11,961.00 $105,310.54 $81,908.20 2026-03-29
245 MS_DRG Aicd Generator Procedures 33 26 — — $17,500.00 $131,258.00 $73,375.85 2026-03-29
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 26 — — $25,000.00 $130,239.00 $77,185.15 2026-03-29
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 31 24 — — $17,500.00 $152,761.22 $98,319.90 2026-03-29
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 25 21 — — $47,670.00 $118,671.37 $82,599.47 2026-03-29
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 21 — — $40,574.00 $171,443.83 $110,258.33 2026-03-29
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 21 — — $40,574.00 $131,258.00 $73,115.57 2026-03-29
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 36 — — $12,497.00 $131,521.12 $83,312.84 2026-03-29
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 20 — — $5,500.00 $177,737.84 $114,280.28 2026-03-29
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 18 — — $40,574.00 $149,725.14 $98,700.34 2026-03-29
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 18 — — $40,574.00 $115,124.29 $74,269.44 2026-03-29
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 16 — — $68,396.58 $138,747.39 $89,364.89 2026-03-29
28 MS_DRG Spinal Procedures With Mcc 17 16 — — $73,829.03 $149,767.51 $100,196.57 2026-03-29
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 18 — — $28,623.00 $529,075.68 $340,191.29 2026-03-29
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 26 — — $25,000.00 $130,239.00 $73,636.83 2026-03-29
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 16 — — $82,162.64 $166,672.85 $108,430.92 2026-03-29
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 19 — — $54,839.40 $111,245.68 $77,161.92 2026-03-29
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 16 — — $61,284.37 $124,319.77 $83,171.68 2026-03-29
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 16 — — $56,481.06 $114,575.90 $76,652.89 2026-03-29
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 16 — — $53,978.02 $109,498.32 $73,255.91 2026-03-29
38240 HCPCS Transplt Allo Hct/donor 21 20 — — $68,276.45 $232,186.86 $82,660.87 2026-03-29
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 16 — — $170,203.79 $345,270.66 $230,990.93 2026-03-29
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 16 — — $67,220.63 $136,361.90 $91,228.03 2026-03-29
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $135,426.74 $274,722.92 $183,203.85 2026-03-29
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $88,701.00 $179,936.38 $122,392.67 2026-03-29
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $69,082.24 $140,138.30 $95,145.21 2026-03-29
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 16 — — $110,708.52 $224,580.23 $145,986.49 2026-03-29
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 16 — — $70,865.20 $143,755.18 $95,950.16 2026-03-29
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 16 — — $82,102.43 $166,550.71 $114,445.77 2026-03-29
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 16 — — $65,489.27 $132,849.71 $89,621.38 2026-03-29
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 16 — — $103,259.63 $209,469.62 $140,138.12 2026-03-29
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 16 — — $73,273.62 $148,640.82 $99,442.80 2026-03-29
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 17 16 — — $67,865.74 $146,678.81 $97,785.87 2026-03-29
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 16 — — $70,034.54 $142,070.13 $94,738.53 2026-03-29
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 16 — — $63,963.12 $129,753.81 $86,807.12 2026-03-29
471 MS_DRG Cervical Spinal Fusion With Mcc 17 16 — — $59,334.29 $120,363.89 $80,525.14 2026-03-29
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 18 — — $126,693.77 $628,857.00 $186,237.31 2026-03-29
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 16 — — $80,502.55 $163,305.24 $107,939.29 2026-03-29
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 16 — — $60,225.16 $129,053.39 $86,035.59 2026-03-29
5LT MS_DRG Liver Transplant 10 5 — — $142,000.00 $539,641.00 $188,453.50 2026-03-29
6 MS_DRG Liver Transplant Without Mcc 18 17 — — $56,978.71 $116,070.87 $81,223.17 2026-03-29
60923050615 NDC Delandistrogene Moxeparvo-rokl 15 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923050918 NDC Delandistrogene Moxeparvo-rokl 18 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051120 NDC Delandistrogene Moxeparvo-rokl 20 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051322 NDC Delandistrogene Moxeparvo-rokl 22 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051423 NDC Delandistrogene Moxeparvo-rokl 23 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051524 NDC Delandistrogene Moxeparvo-rokl 24 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051524_2 NDC Delandistrogene Moxeparvo-rokl 24 X 10 Ml IV Kit|discarded Drug Not Administered 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051827 NDC Delandistrogene Moxeparvo-rokl 27 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923051827_2 NDC Delandistrogene Moxeparvo-rokl 27 X 10 Ml IV Kit|discarded Drug Not Administered 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923052130 NDC Delandistrogene Moxeparvo-rokl 30 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923052433 NDC Delandistrogene Moxeparvo-rokl 33 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923053241 NDC Delandistrogene Moxeparvo-rokl 41 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923053544 NDC Delandistrogene Moxeparvo-rokl 44 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923053847 NDC Delandistrogene Moxeparvo-rokl 47 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
60923055463 NDC Delandistrogene Moxeparvo-rokl 63 X 10 Ml IV Kit 21 16 — — $11,961.00 $4,848,000.00 $3,360,000.00 2026-03-29
64406005801 NDC Nusinersen 12 Mg/5ml It Soln|discarded Drug Not Administered 114 96 $426,113.49 $234,362.42 45% off $11,961.00 $383,502.14 $298,279.44 2026-03-29
64406005801_2 NDC Nusinersen 12 Mg/5ml It Soln 114 96 $426,183.49 $234,400.92 45% off $11,961.00 $383,565.14 $298,328.44 2026-03-29
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 19 — — $57,770.05 $271,081.00 $80,901.44 2026-03-29
650-C MS_DRG Kidney Transplant - Cadaveric 3 3 — — $182,821.00 $258,364.00 $253,239.00 2026-03-29
650-SOTKC MS_DRG Kidney - Cadaveric 1 1 — — $179,280.00 $179,280.00 $179,280.00 2026-03-29
650-SOTKLD MS_DRG Kidney - Live Donor 1 1 — — $179,280.00 $179,280.00 $179,280.00 2026-03-29
650C MS_DRG Kidney Transplant - Cadaveric Donor 2 1 — — $244,518.00 $244,518.00 $244,518.00 2026-03-29
650L MS_DRG Kidney Transplant - Live Donor 2 1 — — $233,859.00 $233,859.00 $233,859.00 2026-03-29
653 MS_DRG Major Bladder Procedures With Mcc 17 16 — — $63,852.53 $133,315.92 $88,877.27 2026-03-29
67979000201 NDC Histrelin Acetate (cpp) 50 Mg Sc Kit 122 104 $135,537.57 $74,545.66 45% off $11,961.00 $121,983.81 $94,876.30 2026-03-29
69488000301 NDC Lutetium Lu 177 Dotatate 370 Mbq/ml IV Soln 114 96 $159,780.00 $87,879.00 45% off $11,961.00 $143,802.00 $111,846.00 2026-03-29
69488001061 NDC Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln 114 96 $127,500.00 $70,125.00 45% off $11,961.00 $114,750.00 $89,250.00 2026-03-29
7 MS_DRG Lung Transplant 26 25 — — $115,000.00 $322,806.66 $206,981.07 2026-03-29
7-D MS_DRG Lung (Double) 4 3 — — $197,600.00 $908,558.00 $581,931.29 2026-03-29
7-S MS_DRG Lung (Single) 4 3 — — $161,000.00 $619,177.00 $444,141.47 2026-03-29
71336100301 NDC Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 115 97 $358,053.00 $196,929.15 45% off $11,961.00 $322,247.70 $250,637.10 2026-03-29
71894012002 NDC Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012103 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 1x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012203 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 2x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012303 NDC Onasemnogene Abeparvovec-xioi 3x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012404 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 2x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012504 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 3x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012604 NDC Onasemnogene Abeparvovec-xioi 4x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012705 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 3x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012805 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 4x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894012905 NDC Onasemnogene Abeparvovec-xioi 5x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013006 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 4x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013106 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 5x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013206 NDC Onasemnogene Abeparvovec-xioi 6x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013307 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 5x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013407 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 6x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013507 NDC Onasemnogene Abeparvovec-xioi 7x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013608 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 6x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013708 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 7x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013808 NDC Onasemnogene Abeparvovec-xioi 8x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894013909 NDC Onasemnogene Abeparvovec-xioi 2x5.5ml & 7x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894014009 NDC Onasemnogene Abeparvovec-xioi 1x5.5ml & 8x8.3ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
71894014109 NDC Onasemnogene Abeparvovec-xioi 9x8.3 Ml IV Kit 96 85 — $3,506,250.00 $11,961.00 $4,961,662.50 $4,462,500.00 2026-03-29
75833060102 NDC Melphalan Hcl 50 Mg Ia Solr 114 96 $547,500.00 $301,125.00 45% off $11,961.00 $492,750.00 $383,250.00 2026-03-29
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 15 — — $73,032.78 $148,152.26 $95,374.72 2026-03-29
799 MS_DRG Splenic Procedures With Mcc 17 16 — — $55,650.40 $113,826.68 $75,884.45 2026-03-29
7BC MS_DRG Breast Cancer 2 2 — — $75,000.00 $75,000.00 $75,000.00 2026-03-29
8 MS_DRG Simultaneous Pancreas/kidney Transplant 40 33 — — $68,868.43 $656,064.00 $115,922.00 2026-03-29
81481080301 NDC Nogapendekin Alfa Inbakic-pmln 400 Mcg/0.4ml Is Soln 114 96 $107,400.00 $59,070.00 45% off $11,961.00 $96,660.00 $75,180.00 2026-03-29
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 16 — — $72,065.72 $146,190.52 $97,803.52 2026-03-29
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 16 — — $56,337.29 $114,284.26 $76,457.78 2026-03-29
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 16 — — $57,480.06 $116,602.44 $78,008.68 2026-03-29
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 17 16 — — $67,459.01 $136,845.47 $91,551.55 2026-03-29
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 16 — — $59,034.47 $119,827.03 $80,118.24 2026-03-29
850 MS_DRG Acute Leukemia With Other Procedures 18 16 — — $106,406.55 $219,786.04 $152,691.27 2026-03-29
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 16 — — $60,684.73 $123,103.35 $82,357.87 2026-03-29
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 16 — — $55,893.70 $113,384.40 $75,855.76 2026-03-29
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 16 — — $84,931.09 $172,288.85 $115,263.67 2026-03-29
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 17 — — $34,020.00 $564,756.02 $366,276.32 2026-03-29
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 16 — — $88,136.99 $178,792.24 $117,016.99 2026-03-29
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 19 — — $64,044.00 $167,784.58 $115,935.92 2026-03-29
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 16 — — $93,632.11 $189,939.49 $127,072.20 2026-03-29
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 16 — — $75,217.55 $152,584.24 $102,081.00 2026-03-29
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 16 — — $57,652.09 $116,951.42 $78,242.15 2026-03-29
999-A MS_DRG Bone Marrow Transplant - Allogeneic 11 11 — — $105,000.00 $862,894.00 $156,600.00 2026-03-29
999-B MS_DRG Bone Marrow Transplant - Autologous 10 9 — — $80,000.00 $429,373.00 $125,750.00 2026-03-29
999-BM MS_DRG Tandem Bone Marrow Transplant Autologous/Autologous 1 1 — — $226,030.00 $226,030.00 $226,030.00 2026-03-29
999-C MS_DRG Simultaneous Liver/Kidney Transplant 5 5 — — $70,000.00 $424,311.00 $95,000.00 2026-03-29
999-CB MS_DRG Cord Blood Related Or Unrelated (single Or Multiple Units) 1 1 — — $541,826.00 $541,826.00 $541,826.00 2026-03-29
999-D MS_DRG Liver /Kidney Transplant 3 3 — — $80,000.00 $259,200.00 $181,900.00 2026-03-29
999-E MS_DRG Heart/Lung Transplant 5 3 — — $128,000.00 $299,600.00 $135,000.00 2026-03-29
999-F MS_DRG Small Bowel Transplant 4 4 — — $160,000.00 $590,901.00 $258,050.00 2026-03-29
999-HL MS_DRG Heart-lung Adult 1 1 — — $903,260.00 $903,260.00 $903,260.00 2026-03-29
999-LB MS_DRG Liver Small Bowel 3 2 — — $678,338.00 $947,082.00 $718,699.11 2026-03-29
999-S MS_DRG Sequential Autologous Transplants (3 Or 4 Autologous Transplants) 1 1 — — $226,030.00 $226,030.00 $226,030.00 2026-03-29
999-SB MS_DRG Small Bowel 1 1 — — $699,458.00 $699,458.00 $699,458.00 2026-03-29
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $267,750.00 $267,750.00 $267,750.00 2026-03-29
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 15 — — $3,570,000.00 $4,958,415.00 $3,685,266.66 2026-03-29
J1413 HCPCS Inj Delandistrogene Mox Rokl 20 17 — — $3,264,000.00 $4,988,182.14 $3,327,859.72 2026-03-29
J1414 HCPCS Inj, Beqvez, Per Tx Dose 9 7 — — $3,570,000.00 $4,866,750.00 $3,710,000.00 2026-03-29
J3387 HCPCS Inj Elivaldogene Autotemecel 10 8 — — $3,060,000.00 $3,816,000.00 $3,180,000.00 2026-03-29
J3389 HCPCS Topi Adm Prad Zami Per Treat 10 8 — — $3,209,940.00 $4,002,984.00 $3,335,820.00 2026-03-29
J3391 HCPCS Inj, Atidarsagene Autotemcel 9 7 — — $4,335,000.00 $4,505,000.00 $4,505,000.00 2026-03-29
J3392 HCPCS Inj, Exagamglogene Autotem 18 15 — — $2,244,000.00 $3,498,000.00 $2,332,000.00 2026-03-29
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 17 — — $2,302,784.67 $3,582,921.35 $2,588,981.22 2026-03-29
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 13 11 — — $197,880.00 $578,790.09 $201,669.02 2026-03-29
J3403 HCPCS Revakinagene, Per Implant 13 11 — — $255,000.00 $760,550.00 $265,000.00 2026-03-29
LOR MS_DRG Allogeneic (Related Donor) 2 2 — — $105,000.00 $163,500.00 $134,250.00 2026-03-29
LOU MS_DRG Allogeneic (Unrelated Donor) 2 2 — — $125,000.00 $163,500.00 $144,250.00 2026-03-29
Q2056 HCPCS Ciltacabtagene Car-pos T 24 21 — — $99,409.39 $1,686,554.27 $587,649.57 2026-03-29
Q2057 HCPCS Afamitresgene Autoleucel 13 11 — — $741,540.00 $2,211,679.40 $770,620.00 2026-03-29
RRUCLA-2740050730-Q0489-0274-RR48628-1000-267480 CDM Hb Vad Device Heartmate Vad Power Units Replacement 113 97 $267,480.00 $147,114.00 45% off $1,685.00 $240,732.00 $187,236.00 2026-03-29
RRUCLA-2740050760-Q0508-0274-RR48628-1000-321470 CDM Hb Vad Device Heartmate Ii Vad Pt Support & Syst Kit 112 96 $321,470.00 $176,808.50 45% off $1,685.00 $289,323.00 $225,029.00 2026-03-29
RRUCLA-2744200600-L2006-0274-RR47704-1000-111810 CDM Hb Kafo Stance Microprocessor Control Cust 112 96 $111,810.00 $61,495.50 45% off $1,685.00 $100,629.00 $78,267.00 2026-03-29
RRUCLA-2744599901-L5999-0274-RR47704-1000-117540 CDM Hb Prosth Knee System Genium Ottobock 112 96 $117,540.00 $64,647.00 45% off $1,685.00 $105,786.00 $82,278.00 2026-03-29
RRUCLA-2744718000-L7180-0274-RR47704-1000-108480 CDM Hb Electronic Elbow Microprocessor Seq Control 112 96 $108,480.00 $59,664.00 45% off $1,685.00 $97,632.00 $75,936.00 2026-03-29
RRUCLA-2744718100-L7181-0274-RR47704-1000-117770 CDM Hb Electronic Elbow Microprocessor Simul Control 112 96 $117,770.00 $64,773.50 45% off $1,685.00 $105,993.00 $82,439.00 2026-03-29
RRUCLA-2744749911-L7499-0274-RR47704-1000-127280 CDM Hb Prsth Partl Hand Myoelectric I-digits Custom Fab 112 96 $127,280.00 $70,004.00 45% off $1,685.00 $114,552.00 $89,096.00 2026-03-29
RRUCLA-2780050130--0278-RR48628-1000-124910 CDM Hb Vad Device Abiomed Ab5000 Vad Assist Device P900023 113 96 $124,910.00 $68,700.50 45% off $1,685.00 $112,419.00 $87,437.00 2026-03-29
RRUCLA-2780050500--0278-RR48628-1000-188660 CDM Hb Vad Device Thoratec Vent Assist Device Vad 113 96 $188,660.00 $103,763.00 45% off $1,685.00 $169,794.00 $132,062.00 2026-03-29
RRUCLA-2780050501--0278-RR48628-1000-183160 CDM Hb Thoratec Vent Assist Device Ivad 113 96 $183,160.00 $100,738.00 45% off $1,685.00 $164,844.00 $128,212.00 2026-03-29
RRUCLA-2780050700--0278-RR48628-1000-291460 CDM Hb Heartmate Ii Vent Assist Device Vad 113 96 $291,460.00 $160,303.00 45% off $1,685.00 $262,314.00 $204,022.00 2026-03-29
RRUCLA-2780050701--0278-RR48628-1000-238110 CDM Hb Heartmate Electric Vent Assist Devic Vad 113 96 $238,110.00 $130,960.50 45% off $1,685.00 $214,299.00 $166,677.00 2026-03-29
RRUCLA-2780502450--0278-RR48628-1000-280400 CDM Hb Vad Device Heartware Hvad Assist Device P100047 113 96 $280,400.00 $154,220.00 45% off $1,685.00 $252,360.00 $196,280.00 2026-03-29
RRUCLA-2780682488--0278-RR48628-1000-332770 CDM Hb Vad Heartmate3 Lvad Implant Kit With Controller 113 96 $332,770.00 $183,023.50 45% off $1,685.00 $299,493.00 $232,939.00 2026-03-29
RRUCLA-2780698635--0278-RR48628-1000-116560 CDM Hb Vad Device Impella 5.5 W/smartassist Abiomed 113 96 $116,560.00 $64,108.00 45% off $1,685.00 $104,904.00 $81,592.00 2026-03-29
RRUCLA-2787050267--0278-RR48628-1000-124550 CDM Hb Berlin Vad Vent Assist 113 96 $124,550.00 $68,502.50 45% off $1,685.00 $112,095.00 $87,185.00 2026-03-29
RRUCLA-4810115000--0481-RR45700-1000-106050 CDM Hb Cath Lab Ir Hours 11.50 123 104 $106,050.00 $58,327.50 45% off $6,200.00 $95,445.00 $74,235.00 2026-03-29
RRUCLA-4810117500--0481-RR45700-1000-108150 CDM Hb Cath Lab Ir Hours 11.75 123 104 $108,150.00 $59,482.50 45% off $6,200.00 $97,335.00 $75,705.00 2026-03-29
RRUCLA-4810120000--0481-RR45700-1000-110250 CDM Hb Cath Lab Ir Hours 12.00 123 104 $110,250.00 $60,637.50 45% off $6,200.00 $99,225.00 $77,175.00 2026-03-29
RRUCLA-4810122500--0481-RR45700-1000-112350 CDM Hb Cath Lab Ir Hours 12.25 123 104 $112,350.00 $61,792.50 45% off $6,200.00 $101,115.00 $78,645.00 2026-03-29
RRUCLA-4810125000--0481-RR45700-1000-114450 CDM Hb Cath Lab Ir Hours 12.50 123 104 $114,450.00 $62,947.50 45% off $6,200.00 $103,005.00 $80,115.00 2026-03-29
RRUCLA-4810127500--0481-RR45700-1000-116550 CDM Hb Cath Lab Ir Hours 12.75 123 104 $116,550.00 $64,102.50 45% off $6,200.00 $104,895.00 $81,585.00 2026-03-29
RRUCLA-4810130000--0481-RR45700-1000-118650 CDM Hb Cath Lab Ir Hours 13.00 123 104 $118,650.00 $65,257.50 45% off $6,200.00 $106,785.00 $83,055.00 2026-03-29
RRUCLA-4810132500--0481-RR45700-1000-120750 CDM Hb Cath Lab Ir Hours 13.25 123 104 $120,750.00 $66,412.50 45% off $6,200.00 $108,675.00 $84,525.00 2026-03-29
RRUCLA-4810135000--0481-RR45700-1000-122850 CDM Hb Cath Lab Ir Hours 13.50 123 104 $122,850.00 $67,567.50 45% off $6,200.00 $110,565.00 $85,995.00 2026-03-29
RRUCLA-4810137500--0481-RR45700-1000-124950 CDM Hb Cath Lab Ir Hours 13.75 123 104 $124,950.00 $68,722.50 45% off $6,200.00 $112,455.00 $87,465.00 2026-03-29
RRUCLA-4810140000--0481-RR45700-1000-127050 CDM Hb Cath Lab Ir Hours 14.00 123 104 $127,050.00 $69,877.50 45% off $6,200.00 $114,345.00 $88,935.00 2026-03-29
RRUCLA-4810142500--0481-RR45700-1000-129150 CDM Hb Cath Lab Ir Hours 14.25 123 104 $129,150.00 $71,032.50 45% off $6,200.00 $116,235.00 $90,405.00 2026-03-29
RRUCLA-4810145000--0481-RR45700-1000-131250 CDM Hb Cath Lab Ir Hours 14.50 123 104 $131,250.00 $72,187.50 45% off $6,200.00 $118,125.00 $91,875.00 2026-03-29
RRUCLA-4810147500--0481-RR45700-1000-133350 CDM Hb Cath Lab Ir Hours 14.75 123 104 $133,350.00 $73,342.50 45% off $6,200.00 $120,015.00 $93,345.00 2026-03-29
RRUCLA-4810150000--0481-RR45700-1000-135450 CDM Hb Cath Lab Ir Hours 15.00 123 104 $135,450.00 $74,497.50 45% off $6,200.00 $121,905.00 $94,815.00 2026-03-29
RRUCLA-4810152500--0481-RR45700-1000-137550 CDM Hb Cath Lab Ir Hours 15.25 123 104 $137,550.00 $75,652.50 45% off $6,200.00 $123,795.00 $96,285.00 2026-03-29
RRUCLA-4810155000--0481-RR45700-1000-139650 CDM Hb Cath Lab Ir Hours 15.50 116 97 $139,650.00 $76,807.50 45% off $6,200.00 $125,685.00 $97,755.00 2026-03-29
RRUCLA-4810157500--0481-RR45700-1000-141750 CDM Hb Cath Lab Ir Hours 15.75 116 97 $141,750.00 $77,962.50 45% off $6,200.00 $127,575.00 $99,225.00 2026-03-29
RRUCLA-4810160000--0481-RR45700-1000-143850 CDM Hb Cath Lab Ir Hours 16.00 116 97 $143,850.00 $79,117.50 45% off $6,200.00 $129,465.00 $100,695.00 2026-03-29
RRUCLA-4810162500--0481-RR45700-1000-145950 CDM Hb Cath Lab Ir Hours 16.25 116 97 $145,950.00 $80,272.50 45% off $6,200.00 $131,355.00 $102,165.00 2026-03-29
RRUCLA-4810165000--0481-RR45700-1000-148050 CDM Hb Cath Lab Ir Hours 16.50 116 97 $148,050.00 $81,427.50 45% off $6,200.00 $133,245.00 $103,635.00 2026-03-29
RRUCLA-4810167500--0481-RR45700-1000-150150 CDM Hb Cath Lab Ir Hours 16.75 116 97 $150,150.00 $82,582.50 45% off $6,200.00 $135,135.00 $105,105.00 2026-03-29
RRUCLA-4810170000--0481-RR45700-1000-152250 CDM Hb Cath Lab Ir Hours 17.00 116 97 $152,250.00 $83,737.50 45% off $6,200.00 $137,025.00 $106,575.00 2026-03-29
RRUCLA-4810172500--0481-RR45700-1000-154350 CDM Hb Cath Lab Ir Hours 17.25 116 97 $154,350.00 $84,892.50 45% off $6,200.00 $138,915.00 $108,045.00 2026-03-29
RRUCLA-4810175000--0481-RR45700-1000-156450 CDM Hb Cath Lab Ir Hours 17.50 116 97 $156,450.00 $86,047.50 45% off $6,200.00 $140,805.00 $109,515.00 2026-03-29
RRUCLA-4810177500--0481-RR45700-1000-158550 CDM Hb Cath Lab Ir Hours 17.75 116 97 $158,550.00 $87,202.50 45% off $6,200.00 $142,695.00 $110,985.00 2026-03-29
RRUCLA-4810180000--0481-RR45700-1000-160650 CDM Hb Cath Lab Ir Hours 18.00 116 97 $160,650.00 $88,357.50 45% off $6,200.00 $144,585.00 $112,455.00 2026-03-29
RRUCLA-4810182500--0481-RR45700-1000-162750 CDM Hb Cath Lab Ir Hours 18.25 116 97 $162,750.00 $89,512.50 45% off $6,200.00 $146,475.00 $113,925.00 2026-03-29
RRUCLA-4810185000--0481-RR45700-1000-164850 CDM Hb Cath Lab Ir Hours 18.50 116 97 $164,850.00 $90,667.50 45% off $6,200.00 $148,365.00 $115,395.00 2026-03-29
RRUCLA-4810187500--0481-RR45700-1000-166950 CDM Hb Cath Lab Ir Hours 18.75 116 97 $166,950.00 $91,822.50 45% off $6,200.00 $150,255.00 $116,865.00 2026-03-29
RRUCLA-4810190000--0481-RR45700-1000-169050 CDM Hb Cath Lab Ir Hours 19.00 116 97 $169,050.00 $92,977.50 45% off $6,200.00 $152,145.00 $118,335.00 2026-03-29
RRUCLA-4810192500--0481-RR45700-1000-171150 CDM Hb Cath Lab Ir Hours 19.25 116 97 $171,150.00 $94,132.50 45% off $6,200.00 $154,035.00 $119,805.00 2026-03-29
RRUCLA-4810195000--0481-RR45700-1000-173250 CDM Hb Cath Lab Ir Hours 19.50 116 97 $173,250.00 $95,287.50 45% off $6,200.00 $155,925.00 $121,275.00 2026-03-29
RRUCLA-4810197500--0481-RR45700-1000-175350 CDM Hb Cath Lab Ir Hours 19.75 116 97 $175,350.00 $96,442.50 45% off $6,200.00 $157,815.00 $122,745.00 2026-03-29
RRUCLA-4810200000--0481-RR45700-1000-177450 CDM Hb Cath Lab Ir Hours 20.00 116 97 $177,450.00 $97,597.50 45% off $6,200.00 $159,705.00 $124,215.00 2026-03-29
RRUCLA-4810202500--0481-RR45700-1000-179550 CDM Hb Cath Lab Ir Hours 20.25 116 97 $179,550.00 $98,752.50 45% off $6,200.00 $161,595.00 $125,685.00 2026-03-29
RRUCLA-4810205000--0481-RR45700-1000-181650 CDM Hb Cath Lab Ir Hours 20.50 116 97 $181,650.00 $99,907.50 45% off $6,200.00 $163,485.00 $127,155.00 2026-03-29
RRUCLA-4810207500--0481-RR45700-1000-183750 CDM Hb Cath Lab Ir Hours 20.75 116 97 $183,750.00 $101,062.50 45% off $6,200.00 $165,375.00 $128,625.00 2026-03-29
RRUCLA-4810210000--0481-RR45700-1000-185850 CDM Hb Cath Lab Ir Hours 21.00 116 97 $185,850.00 $102,217.50 45% off $6,200.00 $167,265.00 $130,095.00 2026-03-29
RRUCLA-4810212500--0481-RR45700-1000-187950 CDM Hb Cath Lab Ir Hours 21.25 116 97 $187,950.00 $103,372.50 45% off $6,200.00 $169,155.00 $131,565.00 2026-03-29
RRUCLA-4810215000--0481-RR45700-1000-190050 CDM Hb Cath Lab Ir Hours 21.50 116 97 $190,050.00 $104,527.50 45% off $6,200.00 $171,045.00 $133,035.00 2026-03-29
RRUCLA-4810217500--0481-RR45700-1000-192150 CDM Hb Cath Lab Ir Hours 21.75 116 97 $192,150.00 $105,682.50 45% off $6,200.00 $172,935.00 $134,505.00 2026-03-29
RRUCLA-4810220000--0481-RR45700-1000-194250 CDM Hb Cath Lab Ir Hours 22.00 116 97 $194,250.00 $106,837.50 45% off $6,200.00 $174,825.00 $135,975.00 2026-03-29
RRUCLA-4810222500--0481-RR45700-1000-196350 CDM Hb Cath Lab Ir Hours 22.25 116 97 $196,350.00 $107,992.50 45% off $6,200.00 $176,715.00 $137,445.00 2026-03-29
RRUCLA-4810225000--0481-RR45700-1000-198450 CDM Hb Cath Lab Ir Hours 22.50 116 97 $198,450.00 $109,147.50 45% off $6,200.00 $178,605.00 $138,915.00 2026-03-29
RRUCLA-4810227500--0481-RR45700-1000-200550 CDM Hb Cath Lab Ir Hours 22.75 116 97 $200,550.00 $110,302.50 45% off $6,200.00 $180,495.00 $140,385.00 2026-03-29
RRUCLA-4810230000--0481-RR45700-1000-202650 CDM Hb Cath Lab Ir Hours 23.00 116 97 $202,650.00 $111,457.50 45% off $6,200.00 $182,385.00 $141,855.00 2026-03-29
RRUCLA-4810232500--0481-RR45700-1000-204750 CDM Hb Cath Lab Ir Hours 23.25 116 97 $204,750.00 $112,612.50 45% off $6,200.00 $184,275.00 $143,325.00 2026-03-29
RRUCLA-4810235000--0481-RR45700-1000-206850 CDM Hb Cath Lab Ir Hours 23.50 116 97 $206,850.00 $113,767.50 45% off $6,200.00 $186,165.00 $144,795.00 2026-03-29
RRUCLA-4810237500--0481-RR45700-1000-208950 CDM Hb Cath Lab Ir Hours 23.75 116 97 $208,950.00 $114,922.50 45% off $6,200.00 $188,055.00 $146,265.00 2026-03-29
RRUCLA-4810240000--0481-RR45700-1000-211050 CDM Hb Cath Lab Ir Hours 24.00 116 97 $211,050.00 $116,077.50 45% off $6,200.00 $189,945.00 $147,735.00 2026-03-29
RRUCLA-6247050267--0624-RR48628-1000-124550 CDM Hb Berlin Vad Vent Assist Ide G050262a3 114 97 $124,550.00 $68,502.50 45% off $1,685.00 $112,095.00 $87,185.00 2026-03-29
RRUCLA-6362339300-J3393-0892-RR45018-1000-11200000 CDM Hb Zynteglo Betibeglogene Autotemcel 73554311101 30 26 — — $11,961.00 $4,524,800.00 $3,174,640.00 2026-03-29
RRUCLA-6362339400-J3394-0892-RR45018-1000-12400000 CDM Hb Lyfgenia Lovotibeglogene Autotemcel 73554111101 29 26 — — $11,961.00 $4,960,000.00 $3,472,000.00 2026-03-29
RRUCLA-6363939923-C9399-0891-RR48636-1000-2048280 CDM Hb Omisirge Omidubicel-onlv 73441080004 230 97 $2,048,280.00 $1,126,554.00 45% off $11,961.00 $1,960,203.96 $1,433,796.00 2026-03-29
RRUCLA-6363939925-C9399-0891-RR45018-1000-2248000 CDM Hb Amtagvi Lifileucel 73776000111 230 97 $2,248,000.00 $1,236,400.00 45% off $11,961.00 $2,151,336.00 $1,378,305.00 2026-03-29
RRUCLA-6368204100-Q2041-0891-RR45018-1000-1646700 CDM Hb Yescarta 71287011901 124 105 $1,646,700.00 $905,685.00 45% off $11,961.00 $1,527,391.73 $1,152,690.00 2026-03-29
RRUCLA-6368204200-Q2042-0891-RR45018-1000-1780600 CDM Hb Kymriah All 00078084619 124 105 $1,780,600.00 $979,330.00 45% off $11,961.00 $1,625,944.83 $1,246,420.00 2026-03-29
RRUCLA-6368204201-Q2042-0891-RR45018-1000-1466781 CDM Hb Kymriah Dlbcl 00078095819 124 105 $1,466,781.00 $806,729.55 45% off $11,961.00 $1,625,944.83 $1,026,746.70 2026-03-29
RRUCLA-6368205300-Q2053-0891-RR45018-1000-1510740 CDM Hb Tecartus Mcl 71287021901 124 105 $1,510,740.00 $830,907.00 45% off $11,961.00 $1,404,722.07 $1,057,518.00 2026-03-29
RRUCLA-6368205302-Q2053-0891-RR45018-1000-1510740 CDM Hb Tecartus All 71287022001 124 105 $1,510,740.00 $830,907.00 45% off $11,961.00 $1,404,722.07 $1,057,518.00 2026-03-29
RRUCLA-6368205400-Q2054-0891-RR45018-1000-1673754 CDM Hb Breyanzi Dlbcl 73153090001 124 105 $1,673,754.00 $920,564.70 45% off $11,961.00 $1,613,517.56 $1,171,627.80 2026-03-29
RRUCLA-6368205500-Q2055-0891-RR45018-1000-1632485 CDM Hb Abecma Mm 500 Ml 59572051503 124 105 $1,632,485.00 $897,866.75 45% off $11,961.00 $1,601,694.54 $1,142,739.50 2026-03-29
RRUCLA-6368205501-Q2055-0891-RR45018-1000-1632485 CDM Hb Abecma Mm 250 Ml 59572051502 124 105 $1,632,485.00 $897,866.75 45% off $11,961.00 $1,601,694.54 $1,142,739.50 2026-03-29
RRUCLA-6368205502-Q2055-0891-RR45018-1000-1632485 CDM Hb Abecma Mm 50 Ml 59572051501 124 105 $1,632,485.00 $897,866.75 45% off $11,961.00 $1,601,694.54 $1,142,739.50 2026-03-29
RRUCLA-8110000112--0811-RR48611-1000-130129 CDM Hb Organ Acq-kidney Living 137 105 $130,129.00 $71,570.95 45% off $308.79 $117,116.10 $91,090.30 2026-03-29
RRUCLA-8120000110--0812-RR48601-1000-233336 CDM Hb Organ Acq-heart Cadaver Donor 139 105 $233,336.00 $128,334.80 45% off $784.90 $210,002.40 $163,335.20 2026-03-29
RRUCLA-8120000111--0812-RR48611-1000-130129 CDM Hb Organ Acq-kidney Cadaver Donor 137 105 $130,129.00 $71,570.95 45% off $308.79 $117,116.10 $91,090.30 2026-03-29
RRUCLA-8120000120--0812-RR48601-1000-431946 CDM Hb Organ Acq-heart&lung Cadaver 136 105 $431,946.00 $237,570.30 45% off $784.90 $388,751.40 $302,362.20 2026-03-29
RRUCLA-8120000121--0812-RR48612-1000-241798 CDM Hb Organ Acq-pancreas Cadaver Donor 136 105 $241,798.00 $132,988.90 45% off $879.07 $217,618.20 $169,258.60 2026-03-29
RRUCLA-8130000114--0813-RR48623-1000-516371 CDM Hb Organ Acq-small Bowel 137 105 $516,371.00 $284,004.05 45% off $1,132.59 $464,733.90 $361,459.70 2026-03-29
RRUCLA-8130000116--0813-RR48623-1000-516371 CDM Hb Organ Acq-small Bowel W Abdominal Wall 137 105 $516,371.00 $284,004.05 45% off $1,132.59 $464,733.90 $361,459.70 2026-03-29
RRUCLA-8130000130--0813-RR48602-1000-198610 CDM Hb Organ Acq-lung Single 136 105 $198,610.00 $109,235.50 45% off $784.90 $178,749.00 $139,027.00 2026-03-29
RRUCLA-8130000131--0813-RR48629-1000-124460 CDM Hb Organ Acq-limb R&l Hand Cadaver Donor 122 104 $124,460.00 $68,453.00 45% off $11,961.00 $112,014.00 $87,122.00 2026-03-29
RRUCLA-8130000132--0813-RR48602-1000-198610 CDM Hb Organ Acq-lung Double 136 105 $198,610.00 $109,235.50 45% off $784.90 $178,749.00 $139,027.00 2026-03-29
RRUCLA-8130000133--0813-RR48602-1000-198610 CDM Hb Organ Acq-lung En Bloc 136 105 $198,610.00 $109,235.50 45% off $784.90 $178,749.00 $139,027.00 2026-03-29
RRUCLA-8153820400-38204-0815-RR48636-1000-122516 CDM Hb Organ Acq-bmt Stem Cell?allo 122 104 $122,516.00 $67,383.80 45% off $11,961.00 $110,264.40 $85,761.20 2026-03-29
RRUCLA-8170000110--0812-RR48621-1000-237267 CDM Hb Organ Acq-liver Cadaver Donor 136 105 $237,267.00 $130,496.85 45% off $879.07 $213,540.30 $166,086.90 2026-03-29
RRUCLA-8170000112--0811-RR48621-1000-237267 CDM Hb Organ Acq-liver Living /related 136 105 $237,267.00 $130,496.85 45% off $879.07 $213,540.30 $166,086.90 2026-03-29
RRUCLA-8170000113--0812-RR48621-1000-237267 CDM Hb Organ Acq-liver Split Cadaver 136 105 $237,267.00 $130,496.85 45% off $879.07 $213,540.30 $166,086.90 2026-03-29
RRUCLA-8918205800-Q2058-0891-RR45018-1000-2100000 CDM Hb Aucatzyl Obecabtagene Autoleucel 83047041004 120 102 $2,100,000.00 $1,155,000.00 45% off $11,961.00 $1,890,000.00 $1,470,000.00 2026-03-29
SOTHL MS_DRG Heart/Lung 1 1 — — $423,711.00 $423,711.00 $423,711.00 2026-03-29
SOTLK MS_DRG Liver-kidney 4 3 — — $376,356.00 $703,058.00 $570,799.70 2026-03-29
UTO MS_DRG Autologous 4 4 — — $71,155.00 $129,500.00 $93,800.00 2026-03-29
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